Abstract:
An expandable stent for implantation in a body lumen, such as an artery, is disclosed. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in the longitudinal direction. The strength of the stent at a center section or at either end can be varied by increasing the mass of the struts forming each cylindrical element in that center section or end section relative to the lower mass struts in the remaining sections of the stent. Increasing the mass of the struts can be accomplished by, for a given strut thickness, increasing the width of the strut, or increasing the length of a cylindrical element.
Abstract:
An expandable stent for implantation in a body lumen, such as an artery, is disclosed. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in the longitudinal direction. The strength of the stent at a center section or at either end can be varied by increasing the mass of the struts forming each cylindrical element in that center section or end section relative to the lower mass struts in the remaining sections of the stent. Increasing the mass of the struts can be accomplished by, for a given strut thickness, increasing the width of the strut, or increasing the length of a cylindrical element.
Abstract:
The invention is directed to an expandable stent for implantation in a body lumen, such as a coronary artery. The stent consists of radially expandable cylindrical rings generally aligned on a common axis and interconnected by one or more links. At least some of the links are formed of a polymer material providing longitudinal and flexural flexibility to the stent while maintaining sufficient column strength to space the rings along the longitudinal axis.
Abstract:
An expandable stent design for use in small vessels, such as the distal regions of the coronary arteries, is disclosed. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in a longitudinal direction. The strut width of the interconnecting members is narrower than the strut width of each cylindrical element thereby increasing the flexibility of the interconnecting members relative to the struts of the cylindrical elements. In one particular embodiment of the present invention, the strut width of the connecting segment between alternating peaks and valleys of the cylindrical element is designed to be wider than the width of the strut in the peak and valley portions of the cylindrical element to enhance the radiopacity of the stent. The stent pattern of the present invention is particularly well suited for use in small vessels having diameters of less than three millimeters, such as the distal vessels of the coronary arteries.
Abstract:
An implantable port system which in at least one embodiment includes a base having an upper surface configured to be positioned under and in contact with a first tissue surface in a body, and a port housing having a lower surface configured to be positioned over a second tissue surface above the first tissue surface. The base and the port housing may be separate from one another and do not contact each other at the time of positioning the base. The base and port may be connected together upon positioning the port in contact with the second tissue surface. A method of implanting a port system may include installing at least a portion of a base of the system beneath a tissue layer in a body, and attaching a port housing to the base at a location above the tissue layer, wherein the port housing is not in contact with the base during the installation of a least a part of the base system beneath the tissue layer.
Abstract:
An expandable stent is implanted in a body lumen, such as a coronary artery, peripheral artery, or other body lumen for treating an area of vulnerable plaque. The invention provides for a an intravascular stent having a plurality of cylindrical rings connected by undulating links. The stent has a high degree of flexibility in the longitudinal direction, yet has adequate vessel wall coverage and radial strength sufficient to hold open an artery or other body lumen. A central section is positioned between distal and proximal sections and is aligned with the area of vulnerable plaque to enhance growth of endothelial cells over the fibrous cap of the vulnerable plaque to reinforce the area and reduce the likelihood of rupture.
Abstract:
Polymeric stents having fracture toughness and resistance to recoil after deployment are disclosed along with methods of manufacturing such stents. Improvements to mechanical characteristics and other improvements may be achieved by having polymer chains within individual stent struts oriented in a direction that is closer to or in line with the axis of the individual stent struts. The desired orientation of polymer molecules may be achieved by one or any combination of extruding polymers into hollow tubes to induce axially oriented polymer chains, applying a tensile load to polymer tubes to induce axially oriented polymer chains, and radially expanding polymer tubes to induce circumferentially oriented polymer chains. Stent patterns include struts defining diamond shaped cells and/or W-shaped cells.
Abstract:
Methods and apparatuses for treating a vulnerable plaque are described herein. In one aspect of the invention, the exemplary apparatus includes a medical device to treat a vulnerable plaque within a body lumen, where the medical device is adapted to position a rupturing device to rupture a fibrous cap of a vulnerable plaque. In one particular embodiment, the medical device includes a rupturing wire having a predetermined pattern to enable the rupturing device to rupture the fibrous cap of the vulnerable plaque. Other methods and apparatuses are also described.
Abstract:
Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity, continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity, anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.